MATERNITY & CHILD PRACTICE EXAM #8 WITH COMPLETE
SOLUTIONS
Postpartum blues is said to be normal provided that the following characteristics are
present. These are
Within 3-10 days only;
Woman exhibits the following symptoms- episodic tearfulness, fatigue, oversensitivity,
poor appetite;
Maybe more severe symptoms in primpara
A 1 and 2
B All of the above
C 2 and 3
D 2 only - correct answer All of the above
Rationale:
All the symptoms 1-3 are characteristic of postpartal blues. It will resolve by itself
because it is transient and is due to a number of reasons like changes in hormonal
levels and adjustment to motherhood. If symptoms lasts more than 2 weeks, this could
be a sign of abnormality like postpartum depression and needs treatment.
To determine if the cause of infertility is a blockage of the fallopian tubes, the test to be
done is
A Postcoital test
B None of the above
C Rubin's test
D Huhner's test - correct answer Rubin's test
Rationale:
Rubin's test is a test to determine patency of fallopian tubes. Huhner's test is also
known as post-coital test to determine compatibility of the cervical mucus with sperms of
the sexual partner.
Right after birth, when the skin of the baby's trunk is pinkish but the soles of the feet and
palm of the hands are bluish this is called:
A Syndactyly
B Cephalo-caudal cyanosis
C Peripheral cyanosis
D Acrocyanosis - correct answer Acrocyanosis
Rationale:
Acrocyanosis is the term used to describe the baby's skin color at birth when the soles
and palms are bluish but the trunk is pinkish.
When the uterus is firm and contracted after delivery but there is vaginal bleeding, the
nurse should suspect
A Laceration of soft tissues of the cervix and vagina
, B Uterine hypercontractility
C Uterine inversion
D Uterine atony - correct answer Laceration of soft tissues of the cervix and vagina
Rationale:
When uterus is firm and contracted it means that the bleeding is not in the uterus but
other parts of the passageway such as the cervix or the vagina.
The ideal site for vitamin K injection in the newborn is:
A Either right or left buttocks
B Middle third of the thigh
C Right upper arm
D Left upper arm - correct answer Middle third of the thigh
Rationale:
Neonates do not have well developed muscles of the arm. Since Vitamin K is given
intramuscular, the site must have sufficient muscles like the middle third of the thigh.
Infertility can be attributed to male causes such as the following EXCEPT:
A Sperm count of about 20 million per milliliter
B Orchitis
C Premature ejaculation
D Cryptorchidism - correct answer Sperm count of about 20 million per milliliter
Rationale:
Sperm count must be within normal in order for a male to successfully sire a child. The
normal sperm count is 20 million per milliliter of seminal fluid or 50 million per ejaculate.
The procedure done to prevent ophthalmia neonatorum is:
A Marmet's technique
B Ophthalmic wash
C Crede's method
D Ritgen's method - correct answer Crede's method
Rationale:
Crede's method/prophylaxis is the procedure done to prevent ophthalmia neonatorum
which the baby can acquire as it passes through the birth canal of the mother. Usually,
an ophthalmic ointment is used.
To enhance milk production, a lactating mother must do the following interventions
EXCEPT:
A Increase fluid intake including milk
B Eat foods that increases lactation which are called galactagues
C Have adequate nutrition and rest
D Exercise adequately like aerobics - correct answer Exercise adequately like aerobics
SOLUTIONS
Postpartum blues is said to be normal provided that the following characteristics are
present. These are
Within 3-10 days only;
Woman exhibits the following symptoms- episodic tearfulness, fatigue, oversensitivity,
poor appetite;
Maybe more severe symptoms in primpara
A 1 and 2
B All of the above
C 2 and 3
D 2 only - correct answer All of the above
Rationale:
All the symptoms 1-3 are characteristic of postpartal blues. It will resolve by itself
because it is transient and is due to a number of reasons like changes in hormonal
levels and adjustment to motherhood. If symptoms lasts more than 2 weeks, this could
be a sign of abnormality like postpartum depression and needs treatment.
To determine if the cause of infertility is a blockage of the fallopian tubes, the test to be
done is
A Postcoital test
B None of the above
C Rubin's test
D Huhner's test - correct answer Rubin's test
Rationale:
Rubin's test is a test to determine patency of fallopian tubes. Huhner's test is also
known as post-coital test to determine compatibility of the cervical mucus with sperms of
the sexual partner.
Right after birth, when the skin of the baby's trunk is pinkish but the soles of the feet and
palm of the hands are bluish this is called:
A Syndactyly
B Cephalo-caudal cyanosis
C Peripheral cyanosis
D Acrocyanosis - correct answer Acrocyanosis
Rationale:
Acrocyanosis is the term used to describe the baby's skin color at birth when the soles
and palms are bluish but the trunk is pinkish.
When the uterus is firm and contracted after delivery but there is vaginal bleeding, the
nurse should suspect
A Laceration of soft tissues of the cervix and vagina
, B Uterine hypercontractility
C Uterine inversion
D Uterine atony - correct answer Laceration of soft tissues of the cervix and vagina
Rationale:
When uterus is firm and contracted it means that the bleeding is not in the uterus but
other parts of the passageway such as the cervix or the vagina.
The ideal site for vitamin K injection in the newborn is:
A Either right or left buttocks
B Middle third of the thigh
C Right upper arm
D Left upper arm - correct answer Middle third of the thigh
Rationale:
Neonates do not have well developed muscles of the arm. Since Vitamin K is given
intramuscular, the site must have sufficient muscles like the middle third of the thigh.
Infertility can be attributed to male causes such as the following EXCEPT:
A Sperm count of about 20 million per milliliter
B Orchitis
C Premature ejaculation
D Cryptorchidism - correct answer Sperm count of about 20 million per milliliter
Rationale:
Sperm count must be within normal in order for a male to successfully sire a child. The
normal sperm count is 20 million per milliliter of seminal fluid or 50 million per ejaculate.
The procedure done to prevent ophthalmia neonatorum is:
A Marmet's technique
B Ophthalmic wash
C Crede's method
D Ritgen's method - correct answer Crede's method
Rationale:
Crede's method/prophylaxis is the procedure done to prevent ophthalmia neonatorum
which the baby can acquire as it passes through the birth canal of the mother. Usually,
an ophthalmic ointment is used.
To enhance milk production, a lactating mother must do the following interventions
EXCEPT:
A Increase fluid intake including milk
B Eat foods that increases lactation which are called galactagues
C Have adequate nutrition and rest
D Exercise adequately like aerobics - correct answer Exercise adequately like aerobics
